STONEYBROOKE RESIDENTIAL SERVICES, LLC – NPI #1164979191
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

STONEYBROOKE RESIDENTIAL SERVICES, LLC is a residential treatment facility located in GRESHAM, OR. NPPES has assigned the NPI number 1164979191 to STONEYBROOKE RESIDENTIAL SERVICES, LLC on September 07, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STONEYBROOKE RESIDENTIAL SERVICES, LLC below.

NPI Profile for
STONEYBROOKE RESIDENTIAL SERVICES, LLC

NPI Number
1164979191
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STONEYBROOKE RESIDENTIAL SERVICES, LLC
Primary location
25500 SE STARK ST
SUITE 101
GRESHAM, OR 97030-3331
Phone: (503) 669-7191 Fax: (503) 669-7102
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VALERIE STONEY
ASSISTANT DIRECTOR
Phone: (503) 669-7191
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.